Bookmark This Story! Here's Your Recap of What’s Coming in 2026
Premera Blue Cross and Premera Blue Cross HMO has a lot to offer members in 2026. Familiarize yourself with the products below to help your groups start the new plan year on the right path.
Key products for 2026
Product
Summary
Funding type
Sales materials
Premera Health Hub
Comprehensive virtual care network, wellness, and chronic condition management solutions.
Self-funded
Premera Cancer Support with Thyme Care
Provides personalized cancer support to members and their caregiver. Included with Personal Health Support.
Self-funded
Dental Choice with Dental GRID+1
Stand-alone adult and large group dental plans will have access to Dental Choice with GRID+, part of the national Dental GRID, a broad network of dentists that’s nearly doubled in size.2
All2
Blue365
Free health and wellness discount program offered through the Blue Cross Blue Shield (BCBS) system.
All
Site-of-Service Expansion3
Value-based benefit for elective surgeries at ambulatory surgical centers and low-risk births at freestanding birth centers.4
All3
Advanced Imaging Site of Service Prior Authorization
Radiology benefit management program will include site of care review.
Fully insured
OptiFlex
Premera Pathfinder
Primary care focused, $5 PCP copays, cost-effective solution. Available as a PPO or EPO on Preferred Choice. EPO only for flexible plan designs.
Fully insured
Pharmacy: SB5213-Compliant Rx
Required for fully insured groups. Model is compliant with Washington state law.
Fully insured
Self-funded
Pharmacy: Standard/Standard+
Predictable pricing, eligible for ancillary products.
OptiFlex
Self-funded
Pharmacy: Transparent Rx
Increased transparency, pass-through pricing.
Self-funded
Employee Assistance Program (EAP) with ComPsych
Comprehensive solution designed to support the wellbeing and mental health of employees.
Self-funded
Updates to existing products in 2026
Product
Summary
Funding type
Sales materials
Virtual care bundles
98point6 for primary/urgent virtual care. SpringHealth for mental and virtual health.
Doctor On Demand discontinued for 2026.
All5
Digital Health Messages
Personalized health texts sent to members’ mobile phones.
All6
MatchmakerTM for Behavioral Health
Personalized provider matching for behavioral health services.
All7
Enhanced Case Management
Digital case management, predictive analytics. Maternity program replaces BestBeginnings.
All5
1The GRID Dental Corporation is a separate company that provides access to dental networks and services on behalf of participating Blue Cross Blue Shield plans.
2Small group medical plans with embedded pediatric dental benefits are limited to the Heritage and Dental Choice and Heritage Signature and Dental Choice networks. Stand-alone adult dental plans have Dental Choice with Dental GRID+ network.
3Opt in required for flexible plan designs. 100-member group minimum for self-funded groups. Flexible plans are available to groups 51+ and all funding types.
4Members should consult with their provider about the best place for them to receive their care.
5Opt in, per employee, per month cost.
6Fee for Digital Health Messages is based on group size. Self-funded groups can opt out through customization.
7Opt in, per list pricing.